Individual provider Active NPI

John D Homan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Huntington Beach, CA
National Provider Identifier
1437116142
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G50213 Issued in CA
Practice address
8941 Atlanta Ave # 522
Huntington Beach, CA 92646-7121
Phone
(949) 720-9266
Fax
(949) 438-3868
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G50213 CA
Sports Medicine (Internal Medicine) Physician 207RS0010X G50213 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G50213 CA Primary

Addresses

Primary practice location

8941 Atlanta Ave # 522
Huntington Beach, CA 92646-7121

Mailing address

8941 Atlanta Ave # 522
Huntington Beach, CA 92646-7121
Phone (497) 209-2669

Other practice location 1

520 Superior Ave Ste 255
Newport Beach, CA 92663-3668
Phone (949) 720-9266

Other practice location 2

21342 Breton Ln
Huntington Beach, CA 92646-7130
Phone (714) 299-2666

Other practice location 3

340 N 4th Ave
Tucson, AZ 85705-8441
Phone (917) 763-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091219000090 CA Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Hospitalist 0840330049 Practice locations: Bishop, CA; Huntington Beach, CA
I20230531001296 AZ Practitioner - Internal Medicine 0840330049 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospitalist
Education
University of Missouri, Columbia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Huntington Beach, CA 92646
Phone (714) 299-2666

8941 Atlanta Ave
Suite 522
Huntington Beach, CA 92646-7130

Hospital & facility affiliations

  • Divine Pearl Home Health Home health agency, Anaheim, CA, CCN 757422
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Crystal Cove Care Center Nursing home, Newport Beach, CA, CCN 055929
  • Pelican Ridge Post Acute Nursing home, Newport Beach, CA, CCN 055121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50213CAMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avaocado Medical Group Current Accepting new patients

Locations

8941 Atlanta Ave
Huntington Beach, CA 92646
Phone (714) 374-1111

Interoperability endpoints

  • Direct secure messaging: jh@johnhomanmd.kareodirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1437116142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8941 ATLANTA AVE # 522",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467121",
            "telephone_number": "497-209-2669",
            "fax_number": "949-438-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 ATLANTA AVE # 522",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467121",
            "telephone_number": "949-720-9266",
            "fax_number": "949-438-3868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Superior Ave Ste 255",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633668",
            "country_code": "US",
            "telephone_number": "949-720-9266",
            "fax_number": "949-340-8034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21342 Breton Ln",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926467130",
            "country_code": "US",
            "telephone_number": "714-299-2666",
            "fax_number": "949-438-3868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 N 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857058441",
            "country_code": "US",
            "telephone_number": "917-763-1337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50213",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "CA",
            "license": "G50213",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G50213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.